MRS. CYNTHIA K SHORTELL (NPI# 1114012341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114012341 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA K SHORTELL |
| Credential | M.D. |
| Practice Address |
40 Duke Medicine Cir Durham NC 27710-4000 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2005-01544 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5902492 | 05 |
| Street Address |
40 DUKE MEDICINE CIR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858343 | John M Reynolds | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2005-08-11 |
| 1235757659 | Shelby Taylor Matthews | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-07-13 |
| 1437774155 | Rebecca Lynn Gregory | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-09 |
| 1427673276 | Wendy Wilson Bingham | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-08 |
| 1861014524 | Deborah Anne Zimmerman | Registered Nurse | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-15 |
| 1851913131 | Autumn Scales | Speech-Language Pathologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-10 |
| 1780204123 | Katherine Conrad | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-24 |
| 1639708696 | Jaeon Kwak | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-02 |
| 1386272458 | Joi Camille Spaulding | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-01 |
| 1255969887 | Connor Lewis Pratson | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437555703 | Vascular Access Center of Durham | Surgery | 3624 Shannon Rd, Suite 104, Durham, NC 27707-3772 | 2014-11-13 |
| 1144487562 | Sonny W. Tucker Jr. | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2008-05-22 |
| 1538230883 | Leila Mureebe | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-11-10 |
| 1174607055 | Richard Sabulsky | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| 1760402069 | James P Weaver | Surgery | 3643 N Roxboro St, Durham, NC 27704-2702 | 2006-07-20 |
| 1538189105 | Steven J Burnham | Surgery | 3643 N Roxboro St, Durham, NC 27704-2702 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1962756148 | Vein Essentials, PC | Surgery | 580 Mccarthy Blvd, New Bern, NC 28562-5217 | 2012-11-09 |
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1639310642 | Vcp Raleigh, LLC | Surgery | 6905 Knightdale Blvd Ste 105, Knightdale, NC 27545-6504 | 2009-03-20 |
| 1104001742 | Raleigh Vein & Laser Center Pa | Surgery | 10000 Falls of Neuse Rd., Suite 303, Raleigh, NC 27614 | 2008-01-02 |
| 1265613624 | Pinehurst Surgical Clinic Pa | Surgery | 1705b Berwick Dr, Laurinburg, NC 28352-5523 | 2007-11-14 |
| 1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
| 1578656773 | Coastal Carolina Surgical Associates, P.a. | Surgery | 1411 Physicians Drive, Wilmington, NC 28401-7338 | 2006-10-02 |
| 1750499851 | Michael David Lininger | Surgery | 149 Macarthur St, Asheboro, NC 27203-5410 | 2006-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.